Table 10.
AAMR and Average Annual Change in HF-Related Mortality Between Rural and Urban Adults81
| Overall | Age 35–64 y | Age 65–84 y | |||||||
|---|---|---|---|---|---|---|---|---|---|
| AAMR 2011 (per 100,000 population)* | AAMR 2018 (per 100,000 population)* | AAPC† | AAMR 2011 (per 100,000 population)* | AAMR 2018 (per 100,000 population)* | AAPC† | AAMR 2011 (per 100,000 population)* | AAMR 2018 (per 100,000 population)* | AAPC† | |
| Rural ‡ | |||||||||
| Overall | 65.3 (64.3–66.3) | 73.2 (72.2–74.2) | +1.9 (1.4–2.4) | 13.6 (13.1–14.1) | 18.0 (17.5–18.6) | +4.6 (3.7–5.5) | 244.7 (240.8–248.7) | 264.5 (260.7–268.3) | +1.3 (0.9–1.8) |
| Black women | 80.5 (74.8–86.3) | 88.7 (83.0–94.5) | +1.9 (0.8–3.1) | 27.0 (23.5–30.5) | 32.7 (28.8–36.7) | +4.2 (1.6–6.7) | 266.3 (243.7–288.9) | 283.1 (261.5–304.7) | +1.0 (0.2–1.9) |
| White women | 51.4 (50.2–52.5) | 55.7 (54.5–56.9) | +1.3 (0.6–2.0) | 8.5 (7.9–9.0) | 11.0 (10.3–11.6) | +4.1 (2.6–5.6) | 200.2 (195.2–205.1) | 210.9 (206.1–215.7) | +0.9 (0.2–1.5) |
| Black men | 106.4 (98.5–114.2) | 131.1 (123.3–138.9) | +3.2 (1.9–4.5) | 35.9 (31.8–40.0) | 52.3 (47.4–57.3) | +6.1 (3.7–8.5) | 350.8 (318.7–382.8) | 404.4 (374.2–434.7) | +2.0 (1.1–2.9) |
| White men | 77.2 (75.6–78.8) | 86.8 (85.3–88.4) | +2.0 (1.5–2.5) | 15.6 (14.8–16.4) | 20.8 (19.8–21.7) | +4.5 (37–5.4) | 291.0 (284.5–297.6) | 316.1 (309.8–322.4) | +1.5 (1.1–2.0) |
| Urban ‡ | |||||||||
| Overall | 51.8 (51.4–52.2) | 57.2 (56.8–57.6) | +1.7 (1.2–2.1) | 9.5 (9.3–9.7) | 12.8 (12.6–13.0) | +4.4 (4.0–4.9) | 198.5 (196.8–200.2) | 198.5 (196.8–200.2) | +1.2 (0.7–1.7) |
| Black women | 56.2 (54.5–57.9) | 64.6 (63.0–66.1) | +2.3 (1.7–2.9) | 15.4 (54.5–57.9) | 19.8 (18.9–20.7) | +3.6 (27–4.5) | 197.7 (190.8–204.5) | 197.7 (190.8–204.5) | +1.9 (1.3–2.6) |
| White women | 39.5 (39.0–40.0) | 40.5 (40.0–41.0) | +0.7 (0.1–1.2) | 5.2 (5.0–5.4) | 6.4 (6.2–6.6) | +3.4 (2.4–4.4) | 158.6 (156.5–160.7) | 158.6 (156.5–160.7) | +0.3 (-0.3–1.0) |
| Black men | 80.9 (78.4–83.3) | 101.9 (99.5–104.2) | +3.3 (2.6–3.9J | 27.1 (25.9–28.3) | 37.7 (36.4–39.1) | +4.8 (3.8–5.7) | 267.4 (257.4–277.3) | 267.4 (257.4–277.3) | +2.7 (1.9–3.5) |
| White men | 62.0 (61.3–62.7) | 69.0 (68.4–69.7) | +1.8 (1.4–2.1) | 10.2 (9.9–10.5) | 13.8 (13.5–14.1) | +4.6 (4.2–4.9) | 241.8 (238.8–244.8) | 241.8 (238.8–244.8) | +1.3 (0.9–1.8) |
AAMR per 100,000 calculated by direct method using 2000 US Census as the standard population
Average annual percent change calculated using Joinpoint Regression Program version 4.7 (National Cancer Institute)
Rural-urban status grouped based on the 2013 NCHS Urban-Rural Classification Scheme for Counties
AAMR = age-adjusted mortality rate; AAPC = average annual percentage change; HF = heart failure; NCI = National Cancer Institute
Pierce JB, Shah NS, Petito LC, Pool L, Uoyd-Jones DM, Feinglass J, et al. Trends in Heart Failure-Related Cardiovascular Mortality in Rural Versus Urban United States Counties, 2011–2018: A Cross-Sectional Study. PLoS One. 2021;16(3):e0246813.